I was looking at comments by pdocs on one of their message boards concerning how to treat schizophrenia combined with ocd, which is what I have. Most of the comments said stay off olanzapine and clozapine as they will make ocd worse through antagonism of 5ht2a and one of them, the one I’m interested in suggested treating schizo-ocd with a typical and an antidepressant.
What I’m thinking is, all my issues I’m currently facing such as ocd on aripiprazole seem to come from significant serotonergic atnagonism which is common to all of the atypicals with the exception of seroquel which I was previously on. If I were to try a drug like haldol which is more selective to dopamine my ocd/hypersexuality issues should in theory go away.
Now the question is, which older neuroleptic should I choose based on their receptor/sfx profiles? This is probably the essence of my question, in your opinion which typical antipsychotic should I use based on your previous experiences taking them?